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Committee to Elect Goug deHaan 497Type or print in ink. Amounts may be rounded to whole dollars. tate Contribution Report Committee to Elect Doug deHaan Date of -:-::':~~~~~=--------.------------_J This Filing __;..;;+;;;.-L..,,_;;:;....L.4 l.D. NUMBER (ifapplicable) 0Amendment :::::::::':""'-_;;;_-.;;;__~~:...::.....!...!..;!:...=. ______________ _JroReportNo. ____ .,,,.... CITY STATE ZIPCODE (explain below) "' ty Clerk' S Off i t 'f ,f.5/2 No. of Pages ---::o.,_4-"'-- Late Contribution(s) Received DATE RECEIVED l!Jj/lf /af 1~/etJJjtJf J!J/.t9/tl/ *Contributor Codes IND -Individual FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) J'f af e J'e11ttlor lJ tJll ?erate& SterttlnM-h 1 M t/§ff~J/ L111aa,, LtrK1n -: . IHttmf/d/J M 9.f.50/ Ja1Jd/'e SaJtUtSm/ . Aiameda~ t:!~ f¥~2 PlY -Political Party COM -Recipient Committee (other than PTY or SCC) OTH-Other SCC -Small Contributor Committee CONTRIBUTOR CODE* [¥(ND D COM DOTH D PTY O sec (Q/IND D COM DOTH D PTY D sec [)YiND D COM DOTH D PTY D sec Reason for Amendment--------------------------- IF AN INDIVIDUAL, ENTER OCCUF¥\TION AND EMPLOYER AMOUNT (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECEIVED SJj,j!J O Check if Loan /fettlbr /jtJ.~2> tffl,fen //lat !fttiL l35fa,fe O Check if Loan f/hai rman . Ea# l311_!j &nvet7JOYi ttnd R e1n t1dlmeR?' 2iOt7,dt' ~ m m1ss1c:>a.-O Check if Loan FPPC Form 497 (Jan/03) FPPC Toll-Free Helpline: 866/ASK-FPPC 8661275-3772 Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Gali deHaa~ Type or print in ink. Amounts may be rounded to whole dollars. Committee to Elect Doug deHaan SCHEDULEf CALIFORNIA 4co FORM U Statement covers period from--'-"/ ()'---2__,/'----tJ.-<.'( __ through /()-J!,f-'cJf Page~ of·~ 1.D.NUMBER /;{ h&'lt/S CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. QVP campaign paraphernalia/misc. CNS campaign consultants GTB contribution (explain nonmonetary)* eve civic donations FIL candidate filing/ballot fees FND fundraising events l\ID independent expenditure supporting/opposing others (explain)* LEG legal defense UT campaign.literature and mailings NAME AND ADDRESS OF CREDITOR {IF COMMITIEE, ALSO ENTER 1.0. NUMBER) Excel Gr?tfJl?1cs /Hamedtl, tC4 9.f.%r/ • Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule F Summary MSR member communications MfG meetings and appearances OFC office expenses PEr petition circulating Pl-0 phone banks POL polling and survey research POS postage, delivery and messenger services PFO professional services (legal, accounting) PAT print ads CODE OR (a) OUTSTANDING DESCRIPTION OF PAYMENT BALANCE BEGINNING OF THIS PERIOD P~T 214t>o Es;. SUBTOTALS$ 1. Total accrued expenses incurred this period. (Include all Schedute F, Column (b) subtotals for $ RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) (b) (c) (d) AMOUNT INCURRED AMOUNT PAID OUTSTANDING THIS PERIOD THIS PERIOD BALANCE AT CLOSE (ALSO REPORT ONE) OF THIS PERIOD » ;211/~25 efl· ' $ accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.} ............................................ INCURRED TOTALS $ /;; 1Sf /.:ZS i/),LJ 1.29 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ..................... , ........... PAID TOTALS$ 3. Net change this period. (Subtract Li~e 2 from Line 1 . Enter the difference here and 2;1/Je1,tJti on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET$~~-~--May be a negative number FPPC Form 460 (June/01) FPPC Tnll.S:rn.a Ualftl:---. ft~ra1a..,.., ---- ScheduleE Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in Ink. Amounts may be rounded to whole dollars. Committee to Elect Doug deHaan Statement covers period from /0/21 /IJ'/ r• through /i 0 CODES: If one of the following codes accurately describes the payment, you may enter the codle. Otheiwise, describe the payment. SCHEDULE I CALIFORNIA 460 FORM PageL ofL 1.0.NUMBER //.t~~f~ OVP campaign paraphernalia/misc. MBA member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries eve civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees Pf-0 phone banks TRC candidate travel, lodging, and meals ~ fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense Pro professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PFrr print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE {IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID A111111edtl s tl41, Pf.-T /hi tzco/fJtJ - Hand/etl fAJ1tli titre Mtuftt!j Set111Cb . _ 5'!1 . LIT IYJ tu! 11.:J 2,g7t,,1J7 ' * Payments that are contributions or independent expenditures must also be summarized on Schedule 0. Schedule E Summary 1. Payments made this period of $100 or more. {Include all Schedule E subtotals.) .................................................................................................. $ ~ /I'/~ '0 7 2. Unitemized payments made this period ofunder$100 ................. -......................................................................................................................... $ __ _,.,3.c;..>.:;=~-'-,-'-2-'L._ 3. Total interest paid this period on loans. (Enter amountfrom Schedule 8, Part 1, Column (e).) ............................................................................... $ ----'~~-- 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ i/1///123 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK·FPPC